Dental
www.deltadentalks.com
1-800-234-3375
Delta Dental is the largest, most experienced dental benefits provider in the country. Our plan Offers:
- Annual Per Participant maximum of $1,500
- Unlimited cleanings
- Children 12 and under receive all covered services free of charge when using a Premier or PPO Network participating dentist.
WHO IS ELIGIBLE AND WHEN:
Active associates working a minimum of 30 hours per week, their spouse and dependent children are all eligible for coverage. Qualified Associates have up to 30 days to enroll in the plan after they become benefit eligible. Most benefit changes require a “qualifying life event” and must be identified within 30 days. Failure to do so will disqualify you from changing coverage until the next open enrollment.
Coverage in the dental plan is effective the first of the month following the date of hire. Coverage terminates on the last day of the month coincident or next following the date in which an associate no longer meets the criteria for eligibility.
Delta Dental of Kansas provides a national network. Refer to www.deltadentalks.com for a listing of in-network providers.
Type of Service |
Premier/PPO Network Coverage |
Non-Participating Network Coverage
|
Deductible |
$50 per person $150 per family |
$50 per person $150 per family |
Annual Maximum* |
$1,500 per participant 25% rollover of unused balance |
$1,500 per participant 25% rollover of unused balance |
Preventive Services
|
100% unlimited cleanings |
100% unlimited cleanings |
Basic Services
|
80% 100% (<13 yrs.) |
80% |
Major Services
|
80% 100% (<13 yrs.) |
80% |
Orthodontia (<19yrs.) |
50% ($1,000 lifetime maximum) | 50% ($1,000 lifetime maximum) |
*Any covered member, who has incurred at least one paid claim during the benefit year, will be eligible to rollover 25% of the remaining (or unused) annual maximum dollars up to $1,000 per covered member.
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Frequently Asked Questions
FAQ - Set to Display None - DO NOT EDIT
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I have misplaced my Dental ID Card, how can I order a new one?
New Dental cards can be ordered through your online portal at www.deltadentalks.com. You also have access to a mobile ID card through the Delta Dental Smartphone App.
I recently moved, how can I update my address with Delta Dental?
Your address can be updated directly through ADP (www.workforcenow.adp.com). After logging in you will go to “Myself” –> “My Information” -> “Profile”. From there you can update all personal information, including your address by clicking on the “View More” icon in the Personal information Section.
After you update your address in ADP, it will update with all benefit providers.
I am getting married, can I add my new spouse to my Dental election?
Getting married is considered a Qualifying Life Event (QLE). You have up to 30 days after the Qualifying Life Event to make changes to your benefit elections, including canceling your coverage, or adding your new spouse to any benefits. If you want to make any additional changes, you can do so directly through ADP.
Coverage for your spouse will begin on the first of the month coinciding with or following your marriage effective date. In order to activate the work event in ADP, we require a signed marriage license.
I went to an Non-Participating provider, how will I be billed?
Delta classifies each provider as PPO, Premier or Non-Participating. Any provider listed in the PPO network will provide you with the greatest cost efficiency. These providers will provide you with a Benefit Paid % on lower cost of service.
The Dentist in the PPO network have contractual rates that are the lowest of the 3 tiers. Premier is next, and non-participating is last.
My son/daughter already had braces when I joined the plan. Does Delta Dental provide coverage for ongoing treatments?
Our plan doesn’t cover orthodontia takeover or orthodontia in progress. If a dependent has already started an orthodontia treatment before being enrolled on our plan, Delta would not provide coverage for the Orthodontia service.
FAQ - Display Set to none
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Do I need to designate a beneficiary?
A beneficiary does not need to be designated for dental insurance. Your dependent(s) will be assumed as a beneficiary for this benefit.
Is my Domestic Partner Eligible for Dental Insurance?
Our Dental plan does not allow enrollment for girlfriends, boyfriends, siblings, domestic partners or grandchildren (unless adopted by you)
I am leaving the plan, when does my coverage end?
Coverage will end the last calendar day of the month.
When is my child no longer eligible for Dental coverage with Mariner?
Dependents are eligible to remain on our Dental plan until the end of the month in which they turn 26. This includes children who are married or have employment elsewhere. Continuation of coverage under the Mariner plan can be obtained by the 26 year old dependent through COBRA.